| NPI | 1003060682 | 
|---|---|
| Other Name | RON GRAHAM | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY KY-903)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C7013)  | 
| Enumeration Date | 2008-11-10 | 
| Last Update Date | 2008-11-10 |